How do workplace step counting challenges generate their outcomes, for whom and in what contexts? A case study of building a realist programme theory
ISPAH ePoster Library. Jepson R. Oct 15, 2018; 225121
Dr. Ruth Jepson
Dr. Ruth Jepson
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Abstract
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Abstract IntroductionThe value of walking for health is established and is acknowledged in health policy (WHO, Dec 2017). To promote walking in the workplace there has been growth in ‘step count’ challenges; however there is limited evidence of effectiveness from RCT studies (Freak-Poli et al. 2011). This study adopts a realist research approach, with a focus on explaining how such challenges might work, for whom and why. It uses Scotland’s ‘Step Count Challenge’ as its focus.MethodIn line with RAMESES standards (2014) for realist reviews, the first stage generated initial rough programme theories (IRPTs). The IRPTs were shaped iteratively from: content analysis of programme documentation (2010-2017); stakeholder workshop; and interviews with programme coordinators. These IRPTs were re-conceptualised by reviewing primary literature from classes of programmes relevant to IRPTs. In keeping with realist approaches, included literature is multi-disciplinary and does not follow a methodological hierarchy.ResultsInitial results, based on the content analysis, generated a number of proposed programme theories including: diversion, re-conditioning, mindfulness, team-work, confidence to compete and confidence to change. Each of these are now undergoing further iteration. Full results will be available in July 2018 and will be discussed at the conference. ConclusionRealist programme theory is relatively absent in physical activity research but is of value to understanding how programmes work to achieve their results. This detailed explanation of the method and findings may help others to consider the approach. External funding details This research is an ESRC-funded Collaborative PhD Scholarship, generously supported by Paths for All.
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